How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,862.09 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,862.09 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,318.26 | Professional | None | $891.25 | $1,122.02 | $1,318.26 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,187.76 Typical High $2,398.83 | Facility | None | $676.08 | $2,187.76 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,023.29 Typical High $1,479.11 | Professional | None | $676.08 | $1,023.29 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,445.44 Typical High $6,606.93 | Facility | None | $54.95 | $1,445.44 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $5,370.32 | Professional | None | $741.31 | $851.14 | $5,370.32 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,513.56 | Professional | None | $724.44 | $831.76 | $1,513.56 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $562.34 Typical High $660.69 | Professional | 52 · Reduced service | $446.68 | $562.34 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $223.87 Typical High $263.03 | Professional | 53 · Discontinued | $177.83 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $831.76 Typical High $1,000.00 | Professional | 54 · Surgery only | $676.08 | $831.76 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $165.96 Typical High $199.53 | Professional | 55 · Aftercare only | $134.90 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $112.20 Typical High $131.83 | Professional | 56 · Pre-op care only | $89.13 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $776.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $630.96 | $776.25 | $933.25 |
Where Kansas sits
The same service costs 6.3 times more in Oklahoma than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kansas· 19th of 51
$1,148
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.